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Contact Information

LAWRENCE K HAIRSTON JR, AE-C
3400 COTTAGE WAY
SUITE G2 #28906
SACRAMENTO, CA95825-1474
 Phone: 209-498-7385
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Patient Education

2279E1000X
Indicates primary specialty

NPI Profile & details for LAWRENCE K HAIRSTON JR · (Male)

NPI Number 1669275665
Status Active
Credentials AE-C
Entity Individual
Enumeration date 03/27/2025
Last updated 03/27/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 42652
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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